SUCCESSFUL CHILDBIRTH AFTER 11 YEARS OF DESPAIR
Thanks to the help of a leading specialist of the Gynecology Department at the Hadassah Clinic, the woman gave birth to twins after 11 years of unsuccessful attempts and 3 interrupted pregnancies.
Hiba Abed-Rabbo, 32, from the Jerusalem district, unsuccessfully tried to give birth for 11 years. During this time, the woman had three pregnancies, interrupted in the later stages, two of them during too premature birth.
Finally, the desperate woman sought the advice of Dr. Doron Kabiri, head of the High Risk Pregnancy Unit and Preterm Birth Prevention Center at the Hadassah University Hospital. Dr. Kabiri assured the patient that he would do everything possible to solve her problem. And he kept his word: after a long individually selected treatment and childbirth under the supervision of a personal midwife and a team of experienced doctors, Hiba gave birth to twins.
“Khiba suffered from an acute form of isthmic-cervical insufficiency (ICI). With this pathology, the uterine cervix opens in the second trimester of pregnancy, which entails partial-birth abortion or premature birth. So Hiba lost three children: the first at the 19th, the second at the 20th and the third at the 21st week of pregnancy, all three fetuses were unviable. Typically, such patients are offered suturing the uterine cervix. After careful consideration, we offered Hiba three types of procedures: special prenatal care, treatment with progesterone, and suturing the uterine cervix with a high Shirodkar suture with peeling of the bladder, performed by vaginal access, since conventional suturing did not help the patient. Hiba was also provided with psychological help and a personal midwife, Noa Ben-Yair, who looked after her throughout the pregnancy. In addition, every week or two she came to the clinic for examination. Despite the additional challenges created by the multifetation, we brought her to the 32nd week and performed a planned caesarean section, which resulted in beautiful and perfectly healthy twins,” recalls Dr. Doron Kabiri.
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